Effect of Yi Jin Jing exercise plus Elastic Band Resistance exercise on overall bone mineral density in postmenopausal women

Effect of traditional Chinese fitness exercises on bone mineral density of middle-aged and elderly people-A systematic review and network meta-analysis

OBJECTIVE

To conduct a systematic review and network meta-analysis on the effects of traditional Chinese fitness exercises on bone mineral density (BMD) among middle-aged and elderly individuals.

METHODS

Randomized controlled trials were collected from seven electronic databases: PubMed, EMBASE, Web of Science, the Cochrane Library, CNKI, VIP, and Wan fang. Studies were selected according to the PICOS principles. Totally 27, 28, 12 and 16 studies pertaining to lumbar spine BMD, femoral neck BMD, greater trochanter BMD, and Ward's triangle BMD, respectively, were comprehensively collected. The effectiveness of various exercise interventions was compared via network meta-analysis using the surface under the cumulative ranking area (SUCRA) to rank effectiveness.

RESULTS

Thirty one studies were included in the risk assessment and network meta-analysis. In the network diagrams formed by the four BMD outcome measures, closed loops were identified within sequences Ba DuanJin, Yi JinJing, and CON; sequences Ba DuanJin, Wu QinXi, and CON; sequences Yi JinJing, Wu QinXi, and CON, allowing for direct and indirect comparisons. Tai Chi, Ba DuanJin, Yi JinJing, and Wu QinXi affected BMD in varying ways. As for lumbar spine BMD, the effect of Yi JinJing was ranked first (SUCRA = 69.3 %), followed by Wu QinXi (SUCRA = 66.7 %). In femoral neck BMD, Ba DuanJin was most the effective (SUCRA = 64.9 %). Tai Chi was ranked the highest in both greater trochanter BMD (SUCRA = 66.7 %) and Ward's triangle BMD (SUCRA = 61.6 %). Inconsistency assessment showed high reliability.

CONCLUSION

Traditional Chinese exercises may provide safe and feasible interventions for improving BMD in middle-aged and elderly people. Although there are no significant differences among most interventions, the SUCRA rankings suggest each exercise has potential advantages in different areas, providing a reference for personalized bone health management.

Effect of different types of exercise on bone mineral density in postmenopausal women: a systematic review and network meta-analysis

Postmenopausal women (PMW) experience the decline of ovarian function; estrogen reduction will accelerate bone mass loss. Exercise is an effective means of mitigating bone mineral density (BMD) loss in PMW, but the relative effectiveness of different exercise types remains under investigation. Our study encompassed a thorough assessment and network meta-analysis, following the principles specified in the Preferred Reporting Items for Systematic Reviews and Network Meta-analysis (PRISMA) statement. Data sources and searches Literature search databases include PubMed, Embase, Cochrane, Google Scholar, Web of Science (WOS), and Scopus. The data search combined keywords like bone mineral density (BMD), postmenopausal women, and various exercise types. Data synthesis and analysis Perform a network meta-analysis by integrating both direct and indirect comparisons using the R environment. This network meta-analysis aimed to evaluate and compare various exercise types with bone mineral density in PMW to identify the most effective types. The literature comprised a collective of 49 papers, encompassing 3360 people across eight interventions. The Network Meta-analysis ranked the effects of exercise interventions on lumbar spine BMD in descending order, based on the p-scores assigned to them in the forest plot. The exercise modalities that showed significant efficacy were AE + RT(Aerobic Mixed Resistance Exercise, MD = 32.35, 95% CrI [8.08;56.62], p = 0.87), AE(Aerobic Exercise, MD = 22.33, 95% CrI [6.67;37.99], p = 0.74), and RT(Resistance Training, MD = 16.98, 95% CrI [8.98;24.99], p = 0.60). Similarly, the femoral neck sites were ranked in descending order based on their p-scores in the forest plot, and the exercise patterns with significant effects on lumbar spine bone mineral density were AE + RT(MD = 140, 95% CrI [40.89;239.11], p = 0.99), WBV(Whole Body Vibration, MD = 26.07, 95% CrI [2.97;49.16], p = 0.80), and RT(MD = 16.98, 95% CrI [8.98;24.99], p = 0.72). Exercise intervention significantly and effectively alleviated BMD in postmenopausal women, with AE + RT having the best effect.

Effects of resistance training, Yijinjing and Baduanjin exercise with oral caltrate D on bone mineral density and bone metabolism in older women: a randomised controlled trial

BACKGROUND

The literature lacks studies comparing the effects of traditional Chinese exercises, Qigong Yijinjing (YJJ) and Baduanjin (BDJ), with resistance training (RT) on bone mineral density (BMD) and bone metabolism in older adults.

OBJECTIVE

This study investigated the effects of regular RT, YJJ, and BDJ exercises training, combined with oral Caltrate D supplementation, on lumbar spine and proximal femur BMD and serum bone metabolism indices in older women.

METHODS

Eighty-four older women were randomly divided into the RT group (RG, n = 21), YJJ group (YG, n = 22), BDJ group (BG, n = 21) and control group (CG, n = 20). These groups performed the assigned exercises for 24 weeks (3 times/week, 60 min/time). The BMD of the lumbar L2-4 and proximal femur, as well as serum bone metabolism indices, were measured using dual-energy X-ray absorptiometry and an automatic chemiluminescence apparatus, respectively.

RESULTS

At week 24, compared to the CG, the RG, YG, and BG had significantly higher BMD and procollagen type I N-terminal propeptide (PINP) levels in the lumbar L2-4 region (BMD: p = 0.049, p = 0.016, p = 0.040; PINP: p = 0.026, p = 0.029, p = 0.020), and lower β-carboxy-terminal cross-linked telopeptide of type 1 collagen (β-CTX) levels (p = 0.001, p = 0.012, p = 0.042). Intragroup comparison between baseline and week 24 data revealed that in RG, YG, and BG, lumbar L2-4 BMD (RG: p = 0.036, YG: p = 0.002, BG: p = 0.022) and PINP (RG: p = 0.020, YG: p = 0.001, BG: p = 0.001) increased, whereas β-CTX (RG: p = 0.003, YG: p < 0.001, BG: p = 0.008) decreased.

CONCLUSIONS

RT, YJJ and BDJ combined with Caltrate D for 24 weeks can increase lumbar BMD, increase the bone formation marker PINP and decrease the bone resorption marker β-CTX in older women but had no significant effect on the BMD of the proximal femur. YJJ and BDJ had the same effect on improving BMD in the older adults as RT with the same exercise cycle and frequency.

Effects of sports therapy on improvement of menopausal symptoms, psychological status, and body morphology in perimenopausal women

OBJECTIVE

The aim of this study was to increase the treatment rate of perimenopausal women by providing evidence-based nonpharmaceutical treatments through developing scientific evidence-based sports therapy and verifying its effectiveness.

METHODS

In a cross-over design, a total of 33 women were assigned to two different sequences of intervention: sports therapy and telephone intervention (n = 17) or telephone intervention and sports therapy (n = 16). A self-reported clinical symptom survey was conducted before and after the experimental and control periods using the following measures: the Menopause Rating Scale, Patient Health Questionnaire 9, and Patient Health Questionnaire 15.

RESULTS

There were significant differences in the changes in the scores for Menopause Rating Scale total (exercise phase, 17.8 ± 5.5 at baseline [B] and 13.5 ± 4.2 at follow-up [F]; control phase, 15.9 ± 6.0 [B] and 15.4 ± 5.3 [F]; P < 0.01), somatic symptoms (exercise phase, 9.5 ± 2.6 [B] and 6.6 ± 2.0 [F]; control phase, 8.5 ± 2.8 [B] and 8.0 ± 1.3 [F], P < 0.01), and urogenital symptoms (exercise phase, 4.9 ± 1.7 [B] and 4.1 ± 1.4 [F]; control phase, 4.3 ± 1.6 [B] and 4.4 ± 1.5 [F]; P < 0.01) between the exercise and control phases. There were also significant differences in the changes in the scores for PHQ-9 (exercise phase, 4.6 ± 4.4 [B] and 3.6 ± 3.3 [F]; control phase, 4.5 ± 3.8 [B] and 5.5 ± 4.6 [F]; P = 0.008) and PHQ-15 (exercise phase, 7.2 ± 4.4 [B] and 5.5 ± 3.5 [F]; control phase, 6.8 ± 4.4 [B] and 7.2 ± 4.9 [F]; P = 0.009) between the two phases.

CONCLUSIONS

Sports therapy would improve menopause symptoms, especially somatic and urogenital symptoms. In addition, sports therapy would improve depressive moods in perimenopausal women.